Kane, Kelly Moore

Kane, Kelly Moore is an sole proprietor health care provider with primary practice located at 1139 E Sonterra Blvd , San Antonio TX 78258-4347. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Kane, Kelly Moore can be contacted via phone (210) 638-2000.

Contact Information

Primary practice address
1139 E Sonterra Blvd San Antonio TX 78258-4347
Phone: (210) 638-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP129551 Texas
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP129551 Texas

Profile Details

NPI number 1205209897
LBN Legal business name Kane, Kelly Moore
Credentials ACNPC-AG
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 5th, 2015
Last updated Dec 30th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205209897 NPPES
Texas MEDICAID 353523906
Texas Other 728198
Texas Other 8JZ357

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